Welcome to therapy first

Psychotherapy as first-line treatment for gender dysphoria

We’re here to help.

The purest form of listening is to listen without memory or desire.

Wilfred Bion

Therapy First is a U.S. based non-profit organization and international professional association of mental health providers dedicated to offering developmentally informed psychotherapy as the first-line treatment for youth gender dysphoria.

Our mission is to advance the field of mental health in this area and to raise the standard of care for children, adolescents, and young adults experiencing gender dysphoria by supporting and training clinicians, conducting research, and offering public education on mental health and psychotherapy.

Start here

Therapy First exists because we see a great need arising from the current oversimplification and politicalization of gender dysphoria in the field of mental health.

Therapists

Join a professional association of mental health providers who view psychosocial support and a whole person approach as the appropriate front-line treatment for gender-related concerns.

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Clients & Families

If you or someone you care about is suffering from gender-related distress, we offer compassionate and evidence-based resources and can help connect you to a mental health provider.

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Transition-Related Grief

We offer resources and information for those who experience grief related to medical transition, including therapists experienced in working with people who choose to detransition.

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Join Therapy First

Therapy First’s professional association is open to licensed mental health providers. Once you become a member, you’ll join a community of over 300 professionals worldwide who actively support one another in exchanging ideas and sharing resources.

You’ll also gain access to weekly peer supervision groups, get discounts to Therapy First webinars and trainings, and have the opportunity to list your practice on a public directory of psychotherapists.

Featured webinars

Therapy First provides a range of trainings for mental health clinicians working with young people who are questioning their identity.

Untangling Gender: Exploring Identity with Clients Through a CBT Lens

Wednesday Nov 26th at 12pm EST

Claire Salisbury, MSc

A client shares with you in session that they are questioning their gender identity…now what? This webinar is designed to provide you, the clinician, with insight, guidance and practical tools to help your clients explore their gender identity. Drawing on over a decade of clinical experience leading a psychotherapy private practice focused on gender identity and grounded in a cognitive behavioural therapy (CBT) framework, Claire shares her knowledge and insight as to how you can facilitate client exploration of the difficult question, “Am I Trans?”. This training will provide attendees with a variety of resources and discussion points that may be integrated immediately into practice. Regardless if you work with adults or adolescents, you will learn how to explore such topics as the experience of gender dysphoria with your clients, including what it is and what it is not, and how feelings of shame can cloud our clients’ understanding of self (including their gender identity). Note: Attendees are assumed to have at least a basic-level understanding of various terms and concepts related to gender and sexuality to get the most out of this webinar. No training in CBT is required.

Learning Objectives:

  1. Review treatment approaches to working with gender dysphoria, from a historical, political, and practical lens.
  2. Understand how a CBT-based approach can facilitate the process of gender identity and presentation exploration.
  3. Learn specific points of discussion, areas of psychoeducation, and handouts to review in session that provide opportunities for further exploration of gender identity.
  4. Explore how to discuss the feeling of gender dysphoria with a client – including measuring the experience, the feeling versus the diagnosis, and differentiating dysphoria from dysmorphia.

Speaker Bio:

Claire Salisbury, MSc (Clinical Psychology), RP, CCC is a Canadian-based, Registered Psychotherapist specializing in the areas of gender identity and sexuality. Her private practice focuses on providing psychotherapy for trans and gender questioning individuals across the lifespan, as well as working with family members (parents, siblings, partners) who may be struggling with a loved one’s gender exploration and (potential) transition. Employing an evidence-based, cognitive-behavioural (CBT) lens to her approach, Claire’s clinical work extends to knowledge dissemination through the provision of peer consultation and talks focused on gender identity/dysphoria. Operating out of Southern Ontario, she recently served as a panel member for the inaugural Ontario Health West 2SLGBTQIA+ Health Forum in 2024, and served on her alma mater, Western University’s, Trans Care Team overseeing mental health care for undergraduate and graduate students.

 

Therapy First has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7505. Programs that do not qualify for NBCC credit are clearly identified. Therapy First is solely responsible for all aspects of the programs. This webinar provide 1.5 hours of CE credits.


Therapy First is approved by the American Psychological Association to sponsor continuing education for psychologists. Therapy First maintains responsibility for this program and its content.

Therapy First webinars are open to the public. Parents, clinicians, teachers, and all those interested are welcome to attend. Psychologists and professional counselors are eligible to earn 1.5 CE credits for participating in the live webinar. 

Find a Therapist

We help prospective clients connect with therapists who agree with the tenets of Therapy First’s membership statement.

You can find out more about individual practices by clicking in and viewing their profile.

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